My father is 58years old and his prostate is enlarged to 37x36x42mm in measurement and volume in 30 ml. Can it be compressed with medication such as Dutasteride and Tamsulosin Hydrochloride? Will it reduce his pain in urinating? Or surgery is the only solution? Is there any risk of it turning into prostate cancer? Will surgery solve his problem? Thanks.

Dr. R.S. SainiInternal Medicine Specialist13yrs exp

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surgery can solve your problem. Prostatitis treatments vary depending on the underlying cause. They can include: Antibiotics. This is the most commonly prescribed treatment for prostatitis. Your doctor will base the choice of medication on the type of bacteria that may be causing your infection. If you have severe symptoms, you may need intravenous (IV) antibiotics. You'll likely need to take oral antibiotics for four to six weeks but may need longer treatment for chronic or recurring prostatitis. Alpha blockers. These medications help relax the bladder neck and the muscle fibers where your prostate joins your bladder. This treatment may lessen symptoms, such as painful urination. Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) may make you more comfortable. Prostate massage. This is done by your physician using a lubricated, gloved finger ? a procedure similar to a digital rectal exam. It may provide some symptom relief, but doctors disagree about how effective it is. Other treatments. Other potential treatments for prostatitis are being studied. These treatments include heat therapy with a microwave device and drugs based on certain plant extracts 

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